Yacht and Pleasure Craft Proposal Form
Please be advised that FP Marine Risks is unable to provide a quote for yachts valued below USD1m.
Name of Assured
Nationality
Occupation
Normal Country of Residence
Address
City
State/Province
Zip/Postal Code
Country
Phone Number
Fax Number
Email
Experience of Owner / Skipper
Claims Record of Ownner / Skipper
Vessel Details
Name of Vessel
Type / Builders
Year Built
Date of Purchase (mm/yy)
Purchase Price (USD)
Total Sum Insured (USD) Include breakdown if relevant
Type of Hull
Material of Hull
Port of Registry
Flag
Length (ft)
Beam
Draft
Tonnage
Max. Speed (knots)
Cruise Speed (knots)
No. of Permanent Crew
No. of Passengers
Location
Type of Mooring
Navigating Waters
In Commission
Type of Outboard Motors
Description of Fire Extinguishers / System
Claims Record of Vessel
Most Recent Survey Conducted
Date (dd/mm/yy)
Place
Please attach copies of most recent survey to this email
Engine Details
Make
Fuel
HP
Age (years)
Turbo
Cover Required
Current Insurer (if applicable)
Inception Date (mm/yy)
Use of Vessel (e.g. skipper charter, bareboat, private pleasure, etc.)
Description of Additional Craft
Value of Additional Craft (USD)
Racing Vessel
Type of Rigging
Type of Racing
Replacement Value (USD) of:
Mast
Spare
Sails
Rigging